| NPI | 1730337023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LOMONACO Medical Billing Manager 561-694-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: FL ME052020) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |